Innovative Housing Development Corp
NPI #1194803403 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1194803403
- Entity Type
- Organization
- Organization Name
- Innovative Housing Development Corp
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3051 COMMERCE DR
- Address 2
- SUITE 5
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3866
- Phone
- (810) 385-4463
Authorized Official
- Name
- MINDY WIEGAND
- Title
- OPERATIONS DIRECTOR
- Phone
- (810) 385-4463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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